Robla New Hope Charter School

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Student Enrollment

Student Information

Gender*
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Foster Youth
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Address
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Parent 1 Information

Parent 2 Information

Emergency Contact Information

Family Doctor Information

Student Transportation Information*
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Student Medical Information

To the best of my knowledge my child is healthy and fit to participate in related activities:*
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My child currently experiences or has recently had a diagnosis for (please check all that apply)
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My child is currently taking medication(s)*
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